Specialist

MetLife; Dadri; On-site; INR 360,000 - 600,000; Full time

Job summary

MetLife Long Term Care Claims Operations is seeking a dedicated professional to support claims processing and customer service. You will provide plan and claim information, assist with submission of claims, and make outbound calls to collect missing information on incomplete claims.

You will research inquiries, respond to insureds, and work with Care Managers to ensure a seamless customer experience while escalating complaints when needed and contributing ideas to improve service quality.

Responsibilities

• Provides plan and claim information, assists with submission of claims and makes outbound calls to gather missing information on incomplete claims.
• Conducts research when needed to resolve customer questions or complaints.
• Responds to telephone inquiries from insured’s regarding specific claim details.
• Understands processes within entire department to assist callers with questions and triage information received.
• Works closely with the Claims Reimbursement and Care Managers to provide a seamless customer experience.
• Outbound calls and letters to customers and providers to research incomplete claims.
• Escalate complaints and potential complaints appropriately
• Contributes ideas that enhance service quality.
• Performs project work and other related duties as assigned or required

Job description

Supports MetLife Long Term Care Claims Operation by providing exemplary customer service while managing daily tasks assigned and performing other related duties as required.

Roles & Responsibilities

• Provides plan and claim information, assists with submission of claims and makes outbound calls to gather missing information on incomplete claims.
• Conducts research when needed to resolve customer questions or complaints.
• Responds to telephone inquiries from insured’s regarding specific claim details.
• Understands processes within entire department to assist callers with questions and triage information received.
• Works closely with the Claims Reimbursement and Care Managers to provide a seamless customer experience.
• Outbound calls and letters to customers and providers to research incomplete claims.
• Escalate complaints and potential complaints appropriately
• Contributes ideas that enhance service quality.
• Performs project work and other related duties as assigned or required